General Question for the Week of November 30, 2015

General Compliance Question of the Week


Has anything been done about the missing ICD-10 diagnosis codes in some local coverage determinations (LCDs)?



After implementation, some Medicare administrative contractors (MACs) identified LCDs that “needed further refinements for ICD-10 diagnosis codes,” according to an announcement from the Centers for Medicare & Medicaid Services (CMS). Claims affected by these edits were temporarily suspended and automatically reprocessed. No action is required by providers. Questions about specific LCDs should be directed to your MAC.

Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.